Medical Billing and EHR Technology For Doctor

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1 Increase Your Income With Electronic Health Records Presented by Paul B. Bindell, DC Sponsored by Life Systems Software

2 In 2004 Congress passed and President Bush signed into law the requirement that all patient health care records should be in an electronic format by the end of 2014.

3 President Obama, as part of the Stimulus Package, has made implementation of Electronic Health Records (EHR) a priority. Starting in 2011 each office that is using an EHR system is supposed to receive higher payments from government programs, such as Medicare.

4 Electronic Health Records include EVERYTHING that is or should be in the patient s file Demographic Data Phone log entries Insurance and financial information Clinical notes and reports (EMR or ECR) Anything else you can think of

5 So how does this information stored in a computer translate into money in your pocket? It all depends on proper use of your EHR system.

6 Complete Electronic Health Record Systems perform several income producing and expense reducing tasks

7 Paperless 90% filing eliminated Outstanding accounts never forgotten Audit protection keep what you earn Automatic Diagnosis Pointing earn more Missed appointment tracking Reminders everything done on time SOAP notes generate billing

8 EHR Systems are PAPERLESS Filing time is reduced by 90% or greater Staff is either more productive with recalls, collections, or other practice building procedures, creating more income, OR Staff is reduced so you have fewer employees, keeping more income in your own pocket Related expenses are eliminated (file folders, new filing cabinets, travel cards, fee slips, etc.)

9 SOAP NOTE CREATED WITH PATIENT IN ROOM BILLING GENERATED BY SOAP NOTE EVERYTHING MATCHES AUDITOR IS FRUSTRATED YOU GET PAID AND KEEP WHAT YOU EARNED EHR Provides Audit Protection Use the EMR section of your EHR systems in real time and your SOAP note generates your billing Auditors and claim examiners look for discrepancies between your documentation and billing. EHR makes sure there are no discrepancies

10 Electronic Medical Records (EMR) also known as Electronic Clinical Records (ECR) are part of the EHR system Rapid creation of SOAP notes in seconds with just a few clicks or taps Very thorough and detailed Produced in dictation quality English To create a similar handwritten note takes a minimum of 15 minutes

11 EMR/ECR Saves Time, Reducing Expenses When insurance or attorney requests notes Printing is faster than pulling paper file, copying it, and putting the file away Notes can be printed to a fax program and sent without using paper or postage

12 EMR/ECR Increases Income Sending a report (SOAP notes) to the patient s other doctors empowers you to Use a higher CPT code meaning that you Bill more = get paid more while you Develop rapport with other doctors Get referrals from those doctors More patients = more income

13 EMR software means that you eliminate Most paper filing Staff time in the filing cabinet Lost files Paper supplies The expense that goes with these things

14 Diagnosis Pointing Increases both INCOME and Patient Visit Average EHR AUTOMATES THE POINTING PROCESS

15 Diagnosis Pointing separates the services you provided. It stops bundling. If the patient s policy has a spinal manipulation restriction, and all diagnoses apply to all services, the carrier bundles everything and does not pay. Using Diagnosis Pointing means that many carriers will pay for therapy long after they have stopped paying for the adjustment.

16 Automatic Diagnosis Pointing is a feature of Electronic Health Record systems. It saves you time, and makes sure you get paid the maximum. As long as insurance pays something, many patients continue with the care they need. Bottom line: Higher PVA and more income

17 Missed Appointment Tracking EHR reminds staff to follow up on every missed appointment No patient is lost; no one falls through the cracks PVA is kept high High PVA = greater $$$ income

18 Productivity Requires Follow Through Reminders are needed to stay on time Late submissions cause lost income Sticky notes and paper reminders get lost or misplaced EHR provides pop up reminders that are never lost, misplaced or forgotten Doctor and staff are enabled to stay current, getting paid as they should

19 EHR Streamlines Patient Flow Sign in at front desk Patient name appears automatically on Doctor's computer in adjusting room AUDIT PROTECTOR: SOAP note generates charges with CPT codes so billing/notes always match Instant Messaging to front desk by doctor Scheduling reminder at front desk Payment auto entry of swiped credit cards Electronic Sign Out proves patient was in office, knew and agreed to services provided, and has ultimate responsibility to pay Automatic receipts for those that need them

20 EHR Streamlines Patient Flow Real time entry = $ in your pocket No travel card and No fee slip No wasted time; no need to: Verify entries before billing Search for a file in a filing cabinet Wonder if the patient is coming back No lost collection cases

21 EHR makes sure you Collect the maximum that is owed you Do everything on time Get the next appointment Follow up with missed appointments Are protected in audits Reduce and eliminate expenses Increase the efficiency and productivity of your practice

22 The Bottom Line EHR Increases your income, reduces your expenses, and gives you more time Just make sure you get the best program for your practice

23 EHR Decision Tips: Make a list of the features that are important for your practice Find a program that includes those features Investigate the costs Are you getting the complete program or just a module? What is included in the purchase? The program, training, support, upgrades, and anything else Are there any extras? How much will they cost?

24 How to Choose an EHR System Look for complete EHR programs that fully integrate patient EMR records with billing, scheduling, statistics, phone logs, reminders and etc. Get a live demonstration so you know the system does what is advertised

25 Ask NOT what your practice can do for you! Ask what ChiroSuiteEHR can do for your practice! ChiroSuiteEHR is the complete, integrated paperless EHR system designed by a Chiropractor for you Call Schdule a demo and place your order Mention code ChiroEcoWeb for a 15% Discount FREE EHR/EMR Newsletter & FREE Video Demo sign up at

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